Obstetrics & gynaecology · UKMLA & AKT
Gestational hypertension
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise gestational hypertension — the full SA Note notes add investigations, management, complications and 10 practice questions.
Key high-yield points
- New-onset hypertension (BP ≥140/90 mmHg) after 20 weeks gestation
- No proteinuria and no end-organ dysfunction - if either present, diagnosis is pre-eclampsia
- Hypertension before 20 weeks = pre-existing (chronic) hypertension, not gestational
Proteinuria ≥1+ on dipstick or PCR ≥30 mg/mmol = pre-eclampsia, not gestational hypertension. This distinction is tested repeatedly.
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